*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8580 - Other acute pancreatitis without necrosis or infection - as a primary diagnosis code | K8580 - Other acute pancreatitis without necrosis or infection - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.38 | |
| Readmission Rate (%) | 23.31 | |
| Unplanned Readmission Rate (%) | 15.78 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | |||
| Total Hospitalizations with ICD K8580 - Other acute pancreatitis without necrosis or infection | 1,302 | |||
| DRG Share of Total Hospitalizations | 0.26 | |||
| % of Total ICD K8580 - Other acute pancreatitis without necrosis or infection in DRG | 47.38 | |||
| Avg LOS at DRG | 3.89 | |||
| Avg LOS with ICD K8580 - Other acute pancreatitis without necrosis or infection | 4.13 | |||
| Readmission Rate at DRG | 21.05 | |||
| Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 22.28 | |||
| Unplanned Readmission Rate at DRG | 15.83 | |||
| Unplanned Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 16.16 | |||
| Total Medicare payments at DRG | $457,925,564 | |||
| Total Medicare payments with ICD K8580 - Other acute pancreatitis without necrosis or infection | $7,188,089 | |||
| Total Medicare payment per Day at DRG | $1,380 | |||
| Total Medicare payment per Day with ICD K8580 - Other acute pancreatitis without necrosis or infection | $1,338 | |||
| Total Medicare payment per Hospitalization at DRG | $5,366 | |||
| Total Medicare payment per Hospitalization with ICD K8580 - Other acute pancreatitis without necrosis or infection | $5,521 | |||
| Total Medicare Charges at DRG | $2,522,082,455 | |||
| Total Medicare Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $39,541,752 | |||
| Avg Charges at DRG | $29,552 | |||
| Avg Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $30,370 | |||
| Mortality Rate at DRG | 0.3 | |||
| Mortality Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | |||
| SNF Discharge Rate at DRG | 5.52 | |||
| SNF Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 3.23 | |||
| Home Discharge Rate at DRG | 75.74 | |||
| Home Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 80.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FLOYD MEDICAL CENTER | 304 TURNER MCCALL BLVD SW | ROME | GA | 30165 | 24 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 18 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD K8580 - Other acute pancreatitis without necrosis or infection | 1,356 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K8580 - Other acute pancreatitis without necrosis or infection in DRG | 26.37 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K8580 - Other acute pancreatitis without necrosis or infection | 4.13 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 22.3 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 16.26 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K8580 - Other acute pancreatitis without necrosis or infection | $7,479,444 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K8580 - Other acute pancreatitis without necrosis or infection | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K8580 - Other acute pancreatitis without necrosis or infection | $5,516 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $41,013,279 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $30,246 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 3.24 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 80.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K8580 - Other acute pancreatitis without necrosis or infection | 223 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K8580 - Other acute pancreatitis without necrosis or infection in DRG | 4.34 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K8580 - Other acute pancreatitis without necrosis or infection | 9.09 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 21.31 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 13.66 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K8580 - Other acute pancreatitis without necrosis or infection | $3,197,944 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K8580 - Other acute pancreatitis without necrosis or infection | $1,578 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K8580 - Other acute pancreatitis without necrosis or infection | $14,341 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $21,392,280 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $95,930 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 10.31 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 18.39 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 38.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K8580 - Other acute pancreatitis without necrosis or infection | 58 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K8580 - Other acute pancreatitis without necrosis or infection in DRG | 1.13 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K8580 - Other acute pancreatitis without necrosis or infection | 14.43 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K8580 - Other acute pancreatitis without necrosis or infection | $2,320,865 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K8580 - Other acute pancreatitis without necrosis or infection | $2,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K8580 - Other acute pancreatitis without necrosis or infection | $40,015 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $10,733,679 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $185,063 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 20.69 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 27.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD K8580 - Other acute pancreatitis without necrosis or infection | 34 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD K8580 - Other acute pancreatitis without necrosis or infection in DRG | 0.66 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD K8580 - Other acute pancreatitis without necrosis or infection | 13.06 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD K8580 - Other acute pancreatitis without necrosis or infection | $1,094,639 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD K8580 - Other acute pancreatitis without necrosis or infection | $2,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD K8580 - Other acute pancreatitis without necrosis or infection | $32,195 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $5,274,102 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD K8580 - Other acute pancreatitis without necrosis or infection | $155,121 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD K8580 - Other acute pancreatitis without necrosis or infection | 52.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 38 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 31 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 30 |